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Surgical management of refractory osteoradionecrosis

This is a French single-centre, 10-year experience of 55 surgical resection and reconstruction procedures. They claim an overall effectiveness rate of 92.3%. A total of 36 segmental and 19 marginal mandibulectomies were performed. A variety of free flaps were used,...

Outcomes following endoscopic vs. microscopic ossiculoplasty

Endoscopic ear surgery continues to increase in popularity with an expanding range of applications in otology. The variety of angled scopes allow for superior visualisation of the surgical field and difficult to reach areas. However, use of endoscopes reduce the...

Functional considerations in reconstruction after laryngectomy

With a plethora of different reconstructive options and techniques available after laryngectomy, it can be difficult to clearly see which give the lowest complication rates and best functional outcomes. This article aims to summarise the current evidence in swallowing and...

Role of non-echo planar diffusion weighted magnetic resonance imaging in detection of cholesteatoma

Whilst the method of canal wall down and same-session reconstruction is emerging to be more popular, canal wall up procedures are still performed. In either, it is necessary to ensure eradication of cholesteatoma or detect its recurrence. The reliability of...

Post-total laryngectomy constipation

This cross-sectional study investigated the prevalence of chronic constipation post total laryngectomy (TL) and after total pharyngolaryngectomy (TPL). For the study, the authors used a self-completed patient questionnaire to evaluate the prevalence and factors related to it. Patients using opioids,...

One-stage laryngotracheal reconstruction in young infants

Airway inadequacy is a significant problem in young infants and may go undetected until inflammatory conditions trigger acute episodes, some of which require a tracheostomy. In addition to breathing difficulties, feeding problems are also common. This study involves 11 children...

Total glossectomy and laryngectomy

This review paper analysed studies published between January 2000 and January 2024, assessing the functional outcomes of total glossectomy combined with laryngectomy. The primary outcomes included speech ability, swallowing function and gastrostomy tube dependence. Secondary outcomes considered were disease recurrence...

Risk factors for postop ventilation following free flap reconstruction

This study, conducted in the United States, analysed 144 patients undergoing free flap surgery. Of these, 51 patients were extubated within 48 hours postoperatively, while 93 remained intubated for more than 48 hours. The mean duration of ventilation was 36...